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how to raise HDL cholesterol

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 Posted 9/25/2013 1:15:45 PM
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I needed some information how one can raise the HDL in the blood. My mum has HDL 36, LDL 161 and triglycerides 99, so I believe this gave her her heart problem. 

But how can one raise quickly the HDL?

Thank you for any help. 
Post #10418
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 Posted 9/25/2013 1:25:19 PM
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Can she exercise?  Can she tolerate niacin?



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 Posted 9/25/2013 4:07:12 PM
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High dose niacin doesn't appear to always work. Its not working in my case anyway. :-( I do have a complicating factor of celiac/gse which may be contributing to my problem though. My vitamin and mineral levels all seem to be fine too. I'm going to have a rbc fatty acids test done soon, hopefully it will shed some light as to what is going on. I have high insulin (~ 18.8-27.4) with good fasting glucose (~ 72-80) and a1c (5.1%) as well which confuses things further.

I managed to double my HDL at one point while changing things up but I'm not sure if it was real or just a lab error. It only showed up that way for one round of tests.
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 Posted 9/25/2013 6:11:18 PM
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Thank you both! Yes, she can tolerate exercise. Ddye, I didn't know about niacin. Very useful the article for niacin.  I hope there are no side effects with other supplements. She takes folic acid, does it matter if she takes the niacin, too? Can she start with the 500 mg niacin?

Thanks again.
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 Posted 9/25/2013 7:23:40 PM
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There's no problem combining niacin with folic acid unless she has histadelic schizophrenia.  Other things that recommend against its use are elevated liver enzymes and liver enlargement, and intolerance of the niacin flush.  And calc is correct--it doesn't work for everyone.

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 Posted 9/27/2013 7:34:09 AM
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Olive Oil polyphenols http://www.lef.org/magazine/mag2010/jan2010_The-Secret-Behind-The-Mediterranean-Diet_01.htm raise HDL. (I can't get that link to work, so you'll have to copy/paste.) Worked for me...raised me from around 38ish to 52ish. Make sure you use a good quality olive oil - UC Davis did a study on olive oil - http://olivecenter.ucdavis.edu/news-events/news/files/olive%20oil%20final%20071410%20.pdf Some "extra virgin" is not really extra virgin. Oh, and i'm talking about consuming it raw, like on a salad or just mix it with water and shoot it, not any kind of cooking or heating.
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 Posted 9/27/2013 12:05:00 PM
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While higher HDL levels are correlated with cardiovascular health, no increase in HDL has been proven to improve health. In other words, while high HDL levels might correlate with better cardiovascular health, specifically increasing one's HDL might not increase cardiovascular health.

Both fibrates and niacin increase artery toxic homocyseine, an effect that can be counteracted by also consuming a multivitamin with relatively high amounts of the B-vitamins, however multiple European trials of the most popular B-vitamin cocktails, trial showing 30% average reduction in homocysteine, while not showing problems have also not shown any benefit in reducing cardiovascular event rates. A 2011 niacin study was halted early because patients adding niacin to their statin treatment showed no increase in heart health, but did experience an increase in the risk of stroke.

Lovaza has been shown to increase HDL-C.  However, the best evidence to date suggests it has no benefit for primary or secondary prevention of cardiovascular disease.

https://en.wikipedia.org/wiki/High-density_lipoprotein#Increasing_HDL_levels

In other words, you are looking for a band aid when what your mum really needs is a serious lifestyle and diet change.
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 Posted 10/1/2013 6:52:41 AM
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Also reported to help boost HDL:
. 7-keto DHEA
. Low glycemic index diet
. L-carnitine
. Policosanol
. Fiber
. Oregano
. Pantethine
. Krill oil

I like to start with thing the body clearly needs, like B vitamins and less sugar.

Also be aware that vegetable oils like safflower and corn may lower HDL. Trans fats, of course, too.

Good luck,
Elaine
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 Posted 10/11/2013 10:26:34 PM
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Substituting monounsaturated fat for carbohydrates or other types of fat raises HDL. You can use canola and olive oil for cooking, while using raw extra vergine olive oil on your salad, or sprinkling it on your dishes after cooking, gives you the additional benefit of the olive oil polyphenols.

Also, nuts are very effective in lowering the LDL/HDL ratio, not only because they contain predominantly monounsaturated fats but also because of their high amount of polyphenols and LDL-lowering phytosterols.

Other foods which stand out for their positive effect on cholesterol and heart disease risk are apples, berries, dark chocolate (> 70% cacao), fish, flax seeds, legumes, red wine, green tea, garlic and ginger.

However, the most powerful non-pharmacological measure is regular physical exercise. In contrast to high dose niacin it is clearly related not only to higher HDL but to lower disease risk as well.
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 Posted 10/15/2013 10:19:33 AM
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Thank you all for the advice! I just want to reply to tell you more about my mum's situation, just as a case that others may find themselves into, too. 

She really keeps a healthy lifestyle .  As you mention above, she eats nuts, she has organic vegetables and meat and fish, and she has reversed her diabetes at her 79 (her HbA1c is 5.2). She also has ( in the last 2 years) extra virgin oil, organic, as Timar above suggests. No carbohydrates , almost none at all .  And she  lost about 10 kg .( she needs to lose 10 more ).

However she had a terrible heart episode, which devastated me! When we tested her blood lipids, she had LDL 163 and HDL 36! 

So there was infection, plaque or I don't know what in her arteries . The point is that after all the care and attention we paid to her food, her health was not ok. ...

All this time -- the last two years -- I've been struggling to help her health , and I realized that all these -- and these are what you also mention above -- where not enough. And that makes me really feel so hopeless.

However, I must admit  -- and that's the things I want to share -- she didn't walk every day, she had great stress, she wasn't sleeping well(because of my dad's problems), she didn't take niacin, and lately she only had one capsule of omega 3.  And perhaps these factors were enough to trigger a disease . I don't know ! 

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